| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $169.82 | $169.82 | |
Aetna
| Professional | $79.43 | $91.20 | $107.15 | |
CareSource
| Facility | $154.88 | $154.88 | $154.88 | |
CareSource
| Professional | $138.04 | $138.04 | $138.04 | |
Cigna
| Facility | $95.50 | $181.97 | $346.74 | |
Cigna
| Professional | $549.54 | $549.54 | $549.54 | |
United
| Facility | $69.18 | $69.18 | $69.18 | |
United
| Professional | $47.86 | $51.29 | $144.54 |